<br>	
	<table width="80%"  cellspacing="5" cellpadding="0" border="0">
	<% fields_for :ipem do |ipem| %>	
	<tr>
		<td  width="30%" align="center"> 
			<table border="0" height="20">
				<tr>
					<td width="58%" nowrap="true" align="right" height="20">
						<label for="codigo_inmetro" class="labelFieldHeader"><span class="campoObrigatorio">*</span> Codigo do Inmetro: </label>
						
					</td>
					<td align="left" width="42%" height="20">
						<%= ipem.text_field 'codigo_inmetro' ,:size => 7  ,:class =>'inputText' %>
						
					</td>
				</tr>
			</table>
		</td>
		<td width="70%">
			<table border="0" height="20"  cellpadding=0" cellspacing="0">
				<tr>
					<td width="250" height="20" nowrap="true" align="right">
						<label for="codigo_certificado" class="labelFieldHeader"><span class="campoObrigatorio">*</span> Número Certificado: </label>
					</td>
					<td align="left"  height="20">
						<%= ipem.text_field 'codigo_certificado' ,:size => 7  ,:class =>'inputText' %>
					</td>
				</tr>
			</table>
		</td>
	</tr>
	<tr>
		<td  width="30%" align="center"> 
			<table border="0" height="20">
				<tr>
					<td width="58%" nowrap="true" align="right" height="20">
						<label for="executor" class="labelFieldHeader">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span class="campoObrigatorio">*</span> Executor: </label>
					</td>
					<td align="left" width="42%" height="20">
						<%= ipem.text_field 'executor' ,:size => 7  ,:class =>'inputText' %>
					</td>
				</tr>
			</table>
		</td>
		<td width="70%">
			<table border="0" height="20"  cellpadding=0" cellspacing="0">
				<tr>
					<td width="250" height="20" nowrap="true" align="right">
						<label for="servico" class="labelFieldHeader"><span class="campoObrigatorio">*</span> Serviço: </label>
					</td>
					<td align="left"  height="20">
						<%= ipem.text_field 'servico' ,:size => 3  ,:class =>'inputText' %>
					</td>
				</tr>
			</table>
		</td>
	</tr>
	<tr>
		<td  width="30%" align="center"> 
			<table border="0" height="20">
				<tr>
					<td width="58%" nowrap="true" align="right" height="20">
						<label for="doc" class="labelFieldHeader">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span class="campoObrigatorio">*</span> Doc: </label>
					</td>
					<td align="left" width="42%" height="20">
						<%= ipem.text_field 'doc' ,:size => 3  ,:class =>'inputText' %>
					</td>
				</tr>
			</table>
		</td>
		<td width="70%">
			<table border="0" height="20"  cellpadding=0" cellspacing="0">
				<tr>
					<td width="250" height="20" nowrap="true" align="right">
						<label for="data_verificacao" class="labelFieldHeader"><span class="campoObrigatorio">*</span> Data de Verificação: </label>
					</td>
					<td align="left"  height="20">
						<%= date_select('ipem', 'data_verificacao', :order => [:day,:month,:year])%>

					</td>
				</tr>
			</table>
		</td>
	</tr>
	<tr>
		<td  width="30%" align="center"> 
			<table border="0" height="20">
				<tr>
					<td width="58%" nowrap="true" align="right" height="20">
						<label for="resultado" class="labelFieldHeader">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span class="campoObrigatorio">*</span> Resultado: </label>
					</td>
					<td align="left" width="42%" height="20">
						<%= ipem.text_field 'resultado' ,:size => 7  ,:class =>'inputText' %>
					</td>
				</tr>
			</table>
		</td>
		<td width="70%">
			<table border="0" height="20"  cellpadding=0" cellspacing="0">
				<tr>
					<td width="250" height="20" nowrap="true" align="right">
						<label for="codigo_selo_taximetro" class="labelFieldHeader"><span class="campoObrigatorio">*</span> Código do Selo do Taxímetro: </label>
					</td>
					<td align="left"  height="20">
						<%= ipem.text_field 'codigo_selo_taximetro' ,:size => 7  ,:class =>'inputText' %>
					</td>
				</tr>
			</table>
		</td>
	</tr>
	<tr>
		<td  width="30%" align="center"> 
			<table border="0" height="20">
				<tr>
					<td width="58%"  nowrap="true" align="right" height="20">
						<label for="reg_oficina" class="labelFieldHeader"><span class="campoObrigatorio">*</span> Região da Oficina: </label>

					</td>
					<td align="left" width="42%" height="20">
						<%= ipem.text_field 'reg_oficina' ,:size => 7  ,:class =>'inputText' %>

					</td>
				</tr>
			</table>
		</td>
		<td width="70%">
			<table border="0" height="20"  cellpadding=0" cellspacing="0">
				<tr>
					<td width="250" height="20" nowrap="true" align="right">
						<label for="codigo_caixa_reducao" class="labelFieldHeader"><span class="campoObrigatorio">*</span> Código da Caixa de Redução: </label>						
					</td>
					<td align="left"  height="20">
						<%= ipem.text_field 'codigo_caixa_reducao' ,:size => 7  ,:class =>'inputText' %>						
					</td>
				</tr>
			</table>
		</td>
	</tr>
	<tr>
		<td  width="30%" align="center"> 
			<table border="0" height="20">
				<tr>
					<td width="58%" nowrap="true" align="right" height="20">
						<label for="numero_guia" class="labelFieldHeader">&nbsp;&nbsp;&nbsp;<span class="campoObrigatorio">*</span> Número da Guia: </label>
					</td>
					<td align="left" width="42%" height="20">
						<%= ipem.text_field 'numero_guia' ,:size => 7  ,:class =>'inputText' %>
					</td>
				</tr>
			</table>
		</td>
		<td width="70%">
			<table border="0" height="20"  cellpadding=0" cellspacing="0">
				<tr>
					<td width="250" height="20" nowrap="true" align="right">
						
					</td>
					<td align="left"  height="20">

					</td>
				</tr>
			</table>
		</td>
	</tr>									
<% end %>	
</table>	
  



  